Evaluation of best surgical procedures in typhoid perforation--an experience of 60 cases.
The results of treatment of 60 cases of typhoid perforation were reviewed over a period of 4.5 years. Closure of the perforation was the method of treatment in 28 (46.66%) cases and closure of the perforation with side-to-side ileotransverse anastomosis was done in 32 (53.33%) cases. Faecal fistula was the most severe post-operative complication following simple closure of the perforation, causing death in all patients and leading to a 25% mortality in those treated by this technique. No fistula was found following closure of the perforation with side-to-side ileotransverse anastomosis, leading to a much lower mortality of 6.22%. The overall mortality in this series was 15%. Apart from toxaemia, surgical failure was the main contributory factor to such a high mortality. In this series, closure of the perforation with side-to-side ileotransverse anastomosis was the better surgical procedure.
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D K
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Department of Surgery, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India.
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007081:Ileostomy; D007194:India / Q000453:epidemiology; D007412:Intestinal Fistula / Q000401:mortality; D007416:Intestinal Perforation / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D014435:Typhoid Fever / Q000150:complications*